Mandated to find and correct improper Medicare payments made to providers.

2.

_______ Medicare Share Savings

B.

Medicare providers responsible for overpayment for claims that do not meet medical necessity, correct coding initiatives, or have documentation to support codes reported on claims.

3.

_______ Recovery Audit Contractors

C.

Medicare program introduced in 1996 to reduce expenditures due to inappropriate codes submitted on claims.

4.

_______ Medicaid Integrity Program

D.

Ensure the availability of records for governmental and other third-party agencies, time mandated by federal or state regulations.

5.

_______ HIPAA

E.

Provides funds to combat fraud, waste, and abuse of those providers seeking reimbursement from Medicaid.

6.

_______ Retention of Records

F.

Program to facilitate coordination and cooperation to improve the quality of care for Medicare fee-for-service beneficiaries.

7

_______ National Correct Coding

Initiative

G.

Provides federal protections for individually identifiable health information held by covered entities and their business associates and gives patients an array of rights with respect to that information.

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